Tag: Sleep Disorder

Sleep Disorder – A Growing Concern in the United States

Sleep Disorder – A Growing Concern in the United States

In the United States alone, it is estimated that approximately 60 – 80 million people have some form of sleep disorder. This number continues to rise. Several of the reasons for the increasing numbers are the aging of the American population, the change in our lifestyle and the obesity epidemic. Of course there are other factors that can lead to a sleep disorder, such as, stress, shift work, illness or genetics.

There are more than 100 different types of sleep disorders. They range in severity from minor to life threatening. People of any age, from infants to the aged, can be affected by a sleep disorder at any time of their lives.

As sleep disorders increase in the United States, so do the dangers that are associated with them.
Tiredness can lead to slower mental alertness and a slower reaction time. This can be a very dangerous combination. Between 20 – 25% of all serious vehicular accidents involve a tired driver. Many of these drivers suffer from some form of sleep disorder and may not even be aware of it. A large number of accidents that occur at home or at work are also due to people with some type of sleeping problem. Sleep disorder, combined with the cost of the accidents and illnesses it causes, results in the American people and the government spending billions of dollars.

Lack of sleep is directly related to many physical ailments and conditions. People that do not get sufficient sleep generally suffer more form headaches, sore joints and stomach problems. Often a sleep disorder is an underlying cause of heart problems, lung conditions and diabetes. Sleep disorders can also affect the mental well being of people stricken with them. Mood changes, anxiety, eating disorders and depression can result.

Many people still do not think of a sleeping problem as a medical problem. Because of this, many never tell their physician that they are having a problem with sleep. Even if they see their doctor on a regular basis for an illness or condition, they never mention their difficulty sleeping.

As the American public and medical community become more educated and aware of the symptoms, effects and severity of various sleep disorders, more and more cases are being diagnosed. Sufferers are being treated with medication, oxygen, cpap machines and even surgery. There are better screening methods and diagnostic tests which find sleep disorder problems earlier. Overnight sleep centers no longer resemble a hospital room. They are now designed to look more like a hotel room, to make the patient feel more comfortable. In some cases, due to computerization and miniaturization, equipment can be so small that some testing can even be done at home.

Sleep is not an option or a luxury. It is a basic element of living and of good health. If you think you, your partner or your child may be suffering from a sleep disorder see your physician. A sleep disorder is a medical problem that can be helped.

Nocturnal Eating Syndrome – A Food Related Sleep Disorder

Nocturnal eating syndrome is a sleep disorder that is more common in women than men. It is one of two eating disorders that are related to sleep. The other is called sleep-related food disorder. Nocturnal eating syndrome and sleep-related food disorder are parasomnias

Nocturnal eating syndrome is a sleep disorder that is characterized by compulsive raids on the refrigerator at night. Usually people with this sleep disorder are very light sleepers. When they awake during the night they have an overly compulsive feeling that they will not be able to fall back to sleep unless they eat something. Once out of bed and at the refrigerator, the compulsion to eat makes them gobble down food. People with nocturnal eating syndrome are fully awake and remember eating the food the next day. This syndrome is a combination of a sleep disorder and an eating disorder. Insomnia is also a factor in nocturnal eating syndrome. Treatment for this disorder is usually received from a mental health professional that specializes in people with eating disorders. Improving sleep hygiene can also help with this disorder.

Sleep-related eating disorder also affects more women then men and is a variation of sleepwalking. During an episode of this sleep disorder, a person will eat during partial arousal form a deep sleep. Often they will eat very unhealthy or strange foods that they normally would not eat when awake. During an episode of sleep-related eating disorder, a person might eat frozen pizza, raw cookie dough, peanut butter on fish and even dog food.

Often they are very careless and sloppy and may get burns or cuts while preparing the food. It is very difficult to wake a person during an episode and they have no memory of it in the morning. There does not seem to be a correlation to hunger during a sleep-related eating disorder episode, even if the person has eaten just before bed, an episode can still occur.

Although the cause of food related sleep disorder is not known, several triggers have been identified. Medications such as lithium, a mood stabilizer, and the benzodiazepine receptor zolpidem are two of those triggers. People with mood and personality disorders or psychological problems such as bulimia are at higher risk of developing one of these food related sleep disorders. People suffering from other sleep disorders including insomnia, sleep apnea, periodic limb movement disorder or narcolepsy are also at higher risk

People with sleep-related eating disorder usually have a history of sleepwalking. Because of this, people suffering from this parasomnina are considered having more of a sleep disorder then an eating disorder. Treatment with prescription medication is often very effective. Antidepressants, dopimine agents, anticonvulsants and opiates are often prescribed. Once sleepwalking is stopped so are the trips to the refrigerator.

Sleep eaters often are overweight because of the high caloric intake at night. The weight gain can lead to other sleep disorders such as obstructive sleep apnea. Seeking treatment, either from a medical or mental health professional is essential for good health in the treatment of sleep eating disorders.

Nightmares and Night Terrors – A Frightening Sleep Disorder

At some time in their childhood almost all children experience the sleep disorder of having a nightmare. They are common in children and can begin as early as two years old. They are most common in children between three and twelve years old and are considered part of the normal developmental process. However, only about 3 percent, experience night terrors, also called sleep terrors. Both of these sleep disorders can be very frightening to a child.

Nightmares are dreams that are so frightening that they wake the person up. Everyone has had nightmares occasionally throughout their life and they usually are not something to worry about.

Nightmares occur several hours after going to sleep during the REM stage of sleep when there is general body paralysis and active dreaming.

A child can remember the nightmare once they awake and they still remember it in the morning. Sometimes this nightmare sleep disorder can become a problem if the child has nightmares very often and becomes afraid to go to sleep or becomes sleep deprived. When a nightmare occurs it is important that the parent remains calm and reassuring.

There are several things that a parent can do to prevent nightmares. Discuss calm and comforting things with your child just before putting then to bed. Reading to them, or telling them a story can also be very comforting. Don’t let a child watch violent or scary shows on television, especially just before going to bed. Maintaining a relaxing bedtime routine is also important. Sometimes, nightmares indicate a more severe emotional problem within your child.

Night terrors usually occur during the first few hours of sleep, during deep non-REM sleep. They often occur at the same time each night. Night terrors are characterized by screaming, crying or moaning. It is not unusual for a child experiencing a night terror to sit straight up in bed and scream. Their heart rate is increased and they experience rapid breathing. An episode of this sleep disorder can last from 10 minutes to over an hour. Although the child’s eyes are open, they are actually still asleep and when they wake up in the morning there is no memory of what happened during the night.

Although night terrors can be frightening, they are not dangerous. They usually are not a sign of any type of mental distress. A parent should not try to wake the child, or comfort them, during a night terror. The best thing for a parent to do when their child is experiencing a night terror is to make sure they are safe. Generally, most children outgrow this sleep disorder after a few months or years.

Several of the factors that can contribute to night terrors include being overly tired, staying up extremely late, eating a heavy meal just before going to bed, and taking certain medications.

Although nightmares and night terrors can seem like a very scary type of sleep disorder to both the parents and the children involved, they are generally harmless.

Narcolepsy – A Rare Sleep Disorder

Narcolepsy, a relatively rare sleep disorder, causes people to fall asleep when they do not want to. This is caused by a neurological disorder. The brain sends signals to the body that are sleep inducing; however, they are sent at inappropriate and unpredictable times. Often it happens when a person is involved in a quiet activity, such as watching a movie or during a meeting. Sometimes a person with this sleep disorder falls asleep while driving, which is obviously extremely dangerous. Others fall asleep while they are eating or talking. The overwhelming need to sleep can come at any hour of the day during any activity.

People suffering with narcolepsy often do not realize how sleepy they are, nor how often they fall asleep. It is often a family member, friend or coworker that convinces them that they need to seek medical help for their sleep disorder.

Narcolepsy has five main symptoms. These are excessive daytime sleepiness, insomnia and fragmented sleep, sleep paralysis, cataplexy and hypnagogic hallucinations. Some people with this sleep disorder experience only one symptom but others can experience all five.

Excessive daytime sleepiness is generally the first symptom to appear. Everyone with narcolepsy has this symptom. The feeling of needing to sleep is so strong that sufferers are unable to fend it off, regardless of how hard they try. These sleep attacks, as they are usually called, can happen several times and last for five to ten minutes.

Insomnia and fragmented sleep are a very common symptom of this sleep disorder. People with narcolepsey often have a very difficult time falling asleep at night, even though they fall asleep easily throughout the day. When they do fall asleep at night they wake up often and do not follow a typical REM / non REM sleep pattern.

Sleep paralysis occurs in about half of the people that suffer from this sleep disorder. For several minutes before falling to sleep or waking up, the person with this symptom cannot talk or move.

The loss of muscle function while awake is cataplexy. These episodes are usually very short in length. Over half of the people with narcolepsy experience this symptom of this sleep disorder. They are caused by a part of REM not functioning correctly. Often, episodes are brought on by anger, laughter or any other strong emotion. Sometimes knees buckle, necks and jaws become weak or the person may fall to the ground. Even though the person looks like they are asleep and cannot talk, they are fully awake and aware of what is happening.

A hypnagogic hallucination is experiencing very vivid and often frightening sounds, images or physical sensations. These occur from dreams just before the person is falling asleep or waking up. It is very difficult for a person with this sleep disorder to distinguish between the dream and reality. These hallucinations often have very dangerous themes and are extremely frightening. Often they are accompanied by sleep paralysis.

There are also several lesser symptoms of narcolepsy. These include blurred vision, migraine headaches, memory or concentration problems and automatic behavior. An apostate of automatic behavior can last for several minutes. During that time a person with this sleep disorder will perform a routine task. The task is often done incorrectly, such as placing a turkey in the dishwasher or writing past the end of a page.

Narcolepsy can be diagnosed and treated with various drugs. If left untreated this sleep disorder can ruin a person’s life.